Premature ejaculation (PE) refers to the persistent or
recurrent discharge of semen with minimal sexual
stimulation before, on, or shortly after penetration,
before the person wishes it, and earlier than he expects
it. In making the diagnosis of PE, the clinician must
take into account factors that affect the length of time
that the man feels sexually excited. These factors
include the age of the patient and his partner, the
newness of the sexual partner, and the location and
recent frequency of sexual activity.Premature ejaculation is the most common sexual problem
facing men today. The condition is most often described
as being an inability to delay ejaculation to a point
when it is mutually desirable for both partners.
In short, it is when a man orgasms before he wishes to
do so.

Causes
Experts are still trying to determine exactly what
causes premature ejaculation. While it was once thought
to be only psychological, we now know premature
ejaculation is more complicated and involves a complex
interaction of both psychological and biological
factors.

Psychological causes
Some doctors believe that early sexual experiences may
establish a pattern that can be difficult to change
later in life such as:

Situations in which you may have hurried to reach climax
in order to avoid being discovered

Other factors that can play a role in causing premature
ejaculation include:

Erectile dysfunction.
Men who are anxious about obtaining or maintaining
their erection during sexual intercourse may form a
pattern of rushing to ejaculate which can be difficult
to change.

Anxiety.
Many men with premature ejaculation also have problems
with anxiety either specifically about sexual
performance, or caused by other issues.

Biological causes
Experts believe a number of biological factors may
contribute to premature ejaculation, including:

Abnormal hormone levels

Abnormal levels of brain chemicals called
neurotransmitters

Abnormal reflex activity of the ejaculatory system

Certain thyroid problems

Inflammation and infection of the prostate or urethra

Inherited traits

Rarely, premature ejaculation is caused by:

Nervous system damage resulting from surgery or trauma

Withdrawal from narcotics or a drug called
trifluoperazine (Stelazine), used to treat anxiety and
other mental health problems

Although both biological and psychological factors
likely play a role in most cases of premature
ejaculation, experts think a primarily biological
cause is more likely if it has been a lifelong problem
(primary premature ejaculation).

What are the effects of premature ejaculation?

The negative effects of premature ejaculation will vary
depending on the individual, but an un-fulfilling sex
life can put a tremendous burden on a relationship with
your partner.
Premature ejaculation diminishes your sexual
self-confidence, causing you to become an even worse
lover in the process. Furthermore, an disappointing
sexual relationship may force your partner to seek
sexual fulfillment elsewhere. Cheating, extra-marital
affairs, break-ups or even divorces - often stem from an
un-fulfilling sex life.

A good sex life is very important!

A satisfying and equally gratifying sexual relationship is
important for any healthy, sexually active couple. Premature
ejaculation can greatly impact relationships on both a physical
and an emotional level, leading to dissatisfaction,
disappointment and other problems. These adverse effects of
premature ejaculation can be temporary, or they may lead to
painful, long-term problems.

What are the Symptoms of premature ejaculation?

In PE, ejaculation occurs earlier than the patient and/or the
couple would like, thus preventing full satisfaction from
intercourse, especially on the part of the sexual partner, who
frequently fails to attain orgasm. PE is almost invariably
accompanied by marked emotional upset and interpersonal
difficulties that may add frustration to an already tense
situation, which makes the loss of sexual fulfillment even
worse. It is also important to differentiate male orgasm from
ejaculation. Some men are able to distinguish between the two
events and enjoy the pleasurable sensations associated with
orgasm apart from the emission of semen, which usually ends the
moment of orgasm. In these cases, the partner is capable of
achieving orgasm and sexual satisfaction.

What can be done to prevent premature ejaculation?
There are a variety of pills, desensitizing creams,
penis rings and other strange gadgets on the market
designed to help control premature ejaculation. Some of
these products are totally worthless in my opinion,
while others can be very helpful.
Let's take a closer look at each type of product and
discuss the pros and cons:

Final Thoughts
Premature ejaculation is a very common and a very
serious problem for men. Virtually all men will
experience premature ejaculation at some point during
their lives, and for many it will remain an ongoing
problem.
But luckily, there is something you can do about it.
As I have found, you can safely and naturally stop
premature ejaculation forever with a little help. With
the right combination of quality products, you will
find that premature ejaculation can be quickly and
easily cured. I can tell you that all of the products
and sites listed above have provided excellent results
for both myself and my readers.

Diagnosis
The physical examination of a patient who is having
problems with PE usually results in normal findings.
Abnormal findings are unusual. The best source of
information for diagnosing the nature of the problem
is the patient's sexual history. On taking the
patient's history, the clinician should concentrate on
the sexual history, making sure that both partners
have adequate and accurate sexual information.
Ideally, the sexual partner should participate in the
history and is often able to contribute valuable
information that the patient himself may be unaware of
or unwilling to relate. The female partner should also
be examined by a gynecologist in order to ascertain
her sexual capabilities and to eliminate the
possibility that the size or structure of her genitals
is part of the reason for the male's premature
ejaculation.

Impotence.
You may be at increased risk of premature ejaculation if
you occasionally or consistently have trouble getting or
maintaining an erection. Fear of losing your erection
may cause you to rush through sexual encounters. As many
as one in three men with premature ejaculation also have
trouble maintaining an erection.

Health problems.
If you have a medical concern that causes you to feel
anxious during sex, such as a heart problem, you may
have an increased likelihood of hurrying to ejaculate.

Stress.
Emotional or mental strain in any area of your life can
play a role in premature ejaculation, often limiting
your ability to relax and focus during sexual
encounters.

Certain medications.
Rarely, drugs that influence the action of chemical
messengers in the brain (psychotropics) may cause
premature ejaculation.

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